Cautery in Hysteroscopy and Biopsy

Therapeutic Hysteroscopic Procedures

When performing therapeutic interventions beyond simple biopsy, such as polypectomy or myomectomy, cautery may be needed for hemostasis, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery 1
Bipolar cautery is preferable to monopolar cautery when electrosurgical intervention is required, as it is less painful with faster healing, according to the American Academy of Otolaryngology-Head and Neck Surgery 2, 3

Cautery should only be applied to the active or suspected site of bleeding with direct visualization to prevent excessive tissue injury, as advised by the American Academy of Otolaryngology-Head and Neck Surgery 2, 3
The grounding pad should be placed on the leg or right shoulder/arm to prevent electrical current conduction through surrounding tissues, as recommended by Gastroenterology 4
Bipolar cautery is strongly preferred over monopolar to minimize current spread and tissue damage, according to Gastroenterology and the American Academy of Otolaryngology-Head and Neck Surgery 4, 5

For therapeutic hysteroscopy, use bipolar cautery only when hemostasis is required, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery and Gastroenterology 1, 2, 3, 4
Apply short, intermittent bursts at lowest energy levels, as advised by Praxis Medical Insights 5
Maintain direct visualization throughout, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery and Praxis Medical Insights 2, 3, 5